Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southland Renal Medical Group, Inc

Organization Nephrology Physician · NPI 1205969748

Southland Renal Medical Group, Inc provides Nephrology Physician services in Los Alamitos, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4152 Katella Ave Ste 201
Los Alamitos, CA 90720-6608
Phone: (562) 630-3111
Fax: (562) 630-3107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A46344 (CA)

Record details

NPI number1205969748
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthland Renal Medical Group, Inc
Authorized official Avedik Semerjian — Secretary · (562) 630-3111
NPI enumeratedMarch 13, 2007
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address3300 E. South Street, Suite 308, Long Beach, CA 90805-4598

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